Permit ` ' C ITY OF F TI GAR® ELECTRICAL RESTRICTED ENERGY PERMIT
N ' 4 DEVELOPMENT SERVICES PERMIT #: ELR2006 -00073
A ll 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/7/2006
PARCEL: 2S 109AD -S4131
SITE ADDRESS: 14987 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 4 LOT: 131 JURISDICTION: TIG
Project Description: All encompassing low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES, LLC GENESIS HOME TECHNOLOGIES
4230 GALEWOOD ST #100 9450 SW GEMINI DR
LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008
Phone: 503- 387 -7538 Contact #: PRI 503- 643 -1704
FAX 503- 643 -3300
FEES Reg #: ELE 26- 989CLE
LIC 128098
Description Date Amount
[ELPRMT] ELR Permit 4/7/2006 $75.00
[TAX] 8% State Surchar 4/7/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through O 2. -00 4110. You may obtain copies of these rules or direct • stions to OUNC at 50,3- 46 -6699.
Issued B ' 4 0 i - Permittee Signatur� :; . �' 11, V+� " «'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
r
Apr 05 2006 1:42AM GENESIS HOME TECHNOLOGIES 5036433300 p.1
, E '. 'ica1 Permit AyPl C E V E 1• t i, ,,, l h r 1. I 1 I\ I.1
City of Tigard D r t " y 06 ier ei„,z cb%o- c ''73
Permit Nc.:
13125 SW Hall Blvd., Tigard, OR 97223 ADD C ' ' Plan 12e4iew Other Permit. 503.639.4171 Fax: 503.598.1960 I ti, t 3 "%131, k , na
Inspection Line: 503,639.4175 , .
.; I L_ DaieReady /By: heir Z See Page 1for
Internet: www.ci.tigerd_or. CITY OF TIGARD Notified/method: I 0 Supplemental lnformattoa
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I T d New construction ❑ Addition /alteratlan/replacement Please check all that apply:
El Demolition ❑Other ❑Service over 225 amps, camel ❑Hazardous location
; :b '', f l , r l l tn_ h o w lrl?'s . � plxl l ltYE1111U'EOtt I ta9 P�,t, fS�1 y � " r Y l d ( + ++' V+'rt; M ? ntnrR! l t J l j '!' Stir ' •.. } , d ! "" z l•1 l 7 Ji.'( ' t a m p s ['Bulldog over 10,000 sq. ft.,
7 g ; rt iiggIV. lt7 ii ;; ,1 ° 2, . I' ; ,� °' W i ' i� n 9 ii a t, r c � , , 011 ll� ; ar i a t of 1- and 2- family dwellings 4 or more new residential
1 .t t � iZ",t,eti J Ise lid .,1v, d , '. f 1; +=bi A zitt . ,R ;. su.xt . u ∎V• 4r..ttwIt, ILre. ,x 11%10: �+Stn,,,L r. k.,, t P, J.
1'4 1- and 2- family dwelling C] Commercial/industrial 1:1 Accessory building ❑System over 600 volts nominal units in one srtuantre
El Multi- lhtriil Q Hessler builder Other: ['Building over three stories ['Feeders, 400 amps or more
EG i r , t d �} lnya: w nx>"nv n t m r i ❑occupant load over 99 persons ❑Matufkatured structures or
A �!'( + 7 `l + 4`,'t 1 g rlt . i ( �mnr,rla n , n i Y " r1111' RV park
L3 sll� ; r' 1U11 G _ _I til , f 2:1_l i x � a �eii c r i b, t4lo • J ri V r t xIt t l 5,t gj, I r. ; ❑Epre66Jlightillg Plan p
Job no.; Job site address: ' -• �� , P `_ ❑Health -care fgoility ❑Otter•.
Submit .1 sets of plans with any of the above.
City /State /ZIP: , : ,, ,/ r app temporary
� ao above arc not applicable to construction service.
1 9 q��.(p, iyl �yit �lp� 1 f � ��t it r i r .r �r,� `k, 4' ! ! rt b I 4?
� y - p gpil y � 6 4�i },`t k.}
Suite /bldg. /apt, no Project name: , , 1 S,&,,,, }Tih �n r G' .FY:[2 . A'G: • -. nn ra ilJ g∎nt,' Yaxlt l !LL+ • "..{1AUArk
Deestlerlon Qty, rw, Total ""
Cross street/directions to job site: New residential sln1e- or multi- family dwelling unit.
• Indudes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: '1 Lot no.: Ea '1
add500 sq, 8, or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no 0
Limited energy, non - residential 75.00
a 'm ti M t t l a r t •o .tit t r r a�+e J *) l gru x t rJUru ytr r' {t I e i e > 91 �
. R : N g'ter ! 1' 3 � g tr,, k it 3k.f "'1 , 1 , , ig' p a t ilt p � ' �k J� kj �� ►�kr� 2
_ _
, 61 � 7.i , AV . 7id, , t, i'}... vsl.,t< a•�l+rrls.ror�t rt:u: 7Stir e. ,.r.ar•mK � FI ! .l' t�1�t i�:ia� �1, b•1t.�.• 'u ..t.�'4x0t,. Eaoh meu►ufennued or modular
dwelling, service and/or feeder 90.90 2
�� ! f _ ! ,� ! Services or feeders Installation, alteration, and/or relocation
_ /, 200 amps or less 80.30 2
r , A tl " l e Y m w k a,,tztnir1 i,rx y : ,1: a t . Ct 1 lt " 'fi t ° t" ar t t ;� j� ik "7 "I "t '� { gt ,° t l R , i + 101 amps to 400 amps 106.85 2
t l'C:,V,, atZt 1 , ,.,,,L iiiLLitit?tr.ts Anti O.,11", C ?.t "; 2.4ttigl: It ∎, 4 K Al , ' w l4 i
.3,t 40xlt un115.1k_iv.1 . d' 11114{41ia i i�1 t 7. 401 amps to 600 amps 160.60 2
Name: D . , 601 amps to 1,000 amps - 240.60 2
Address: . ` Over 1,000 amps or volts 454.65 2
`w Reoonnece only 66.85 2
City /State / 5' ZIP: �-+ , , /•• e ir Temporary services or feeders installation, alteration, and/or
relocation
Phone: (03 ) ' 6 - ' 3 . Fax; ( ) 200 amps or less 66,85 1
Owner installation: This installation is being made on property that I own which is not 20] =pa to 400 ntnps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447. 449, 670, and 701. 40] amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
Pee f
1:5 o R . r , 4, i l t w1 del Mt Sr
k 't trr4'p r , n a t �,><1K� „V,,4 F § J °a tt !$ A. a
� jrf `''1 t 4i ,1 4 '.. '14 4 1 at A I / '. aa o� . tk A� .14. l t c t t t
t1 r'.. , •N..u� u:a nn r b;n. „�,itl eu.,,..� � n. F . "z3. } ,$ e13 , service branch circuits with
c ttr ibeder fee, each
Business name: branch circuit 6.65 2
B. Fee fbr branch circuits
Contact name: without service or Feder fee, 46.85 2
each branch circuit
Address; Each add'I branch circuit 6.65 2
.- City /State /ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2
E mail: Signal circuit(s) or limited-
, r r ` ,l 4 t p, ill 2� , � x f , ry1n lam l �5 " ' t, 1t l � �
4144 .Ii cuktio ' t m i l :1. 3 34 Pii r 1 ' ii fEi ,�l 4 ,, �r I T ; 7 77 " ¢ i lttltl r. r r t�^ k 'iI :� jFx 1U' A energy panel, ahem rion, or if (! y,
Business name: extension. Describe, / Page 2 /s 2
Address: Each additional Inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Investigation per hour (I in min) 62.50
Phone: i 1 __ : • S. Industrial • lant r hour 73.75
GENESIS HOME TECHNOLOGIES ,_': y „l `, Cis . . �, ;. r `gt'
cc> 9450 SW Gemini Drive Beaverton, OR 97008 Subtotal II* �
Supt Phn- 50 -643 -1704 Fax- 503 -643 -3300 _ Plan revIew C2$% of permit fre)
Fria `att , �, COB 1098, CLE28 -989, State surcharge (8% of permit fee)
2885 -J L 28E G 6�
TOTAL PE&MTI PEE o a if, Auth,. • -^--•- •--m-- -- -^-• -• Thk permit application expires if a permit is not obtained within Ise
days after It has been accepted is complete
s i, Date; . S" -- • Foe methodology sot by T i- County Building tnduatry Service Hoard
v Number of inspections per permit allowed,
i; uswIding \Perreite\F.U=PermltApp.doe 12103 440.461$T(10102/COM,WSB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/200(; •
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7 :02AM PAGE: 65
SITE ADDRESS: 14987 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 4 LOT #: 131 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO.4
DESCRIPTION: All encompassing limy volt e.
OWNER: DON MORISSL.I 1E COMMUNITIES, LLC, PHONE #: 503- 3B7 -7530
CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 503 - 643 -1704
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
135 I nw ultage 0282601 5()3 -643- 1704 N
J q 9 Fh) 4l..
Correc ' • - - - •• •• - - - structions:
•
•
D K PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 68 ti Date: "f 141(°6 Phone #: (503) 718- 2,111A